国医大师熊继柏谈《黄帝内经》诊法学  

Discussion on Diagnosis in Huangdi Neijing by National Chinese Medicine Master Xiong Jibo

作　　者：叶培汉 孙贵香[1] 何清湖[1] YE Peihan;SUN Guixiang;HE Qinghu(Hunan University of Chinese Medicine,Changsha,Hunan 410208,China)

机构地区：[1]湖南中医药大学,湖南长沙410208

出　　处：《湖南中医药大学学报》2018年第2期117-121,共5页Journal of Hunan University of Chinese Medicine

基　　金：国家中医药管理局"国医大师熊继柏传承工作室"建设项目资助;湖南中医药大学中医诊断学国家重点学科开放基金项目(2013ZYZ D21);湖南省卫计委科研项目(B201546);2014年中医药行业科研专项(201407004);湖南省学位与研究生教改项目(JG2014B043)

摘　　要：熊继柏教授认为《黄帝内经》诊法学内容主要包括:诊法学的整体观思想;四诊合参的诊察方法;审察病机的纲领。望诊之法包括察部位、辨脏腑,察神色、观成败,察形态、测病变;闻诊之法包括听声音、嗅气味;问诊之法包括问病情、审病因;切脉之法包括诊脉的一般要求、切脉的部位、测脉的至数、察脉的胃气、脉象的主病、脉合四时阴阳、脉合病证阴阳。审察病机的纲领主要包括五脏六气病机、阴阳寒热病机、邪正虚实病机、气血营卫病机。《黄帝内经》诊法学思想内涵丰富,对中医临床有重要的指导意义。In opinion of Profossor Xiong Jibo,the diagnostics of Huangdi Neijing mainly include the holism thought of the diagnosis,four diagnostic methods,program of examination of disease pathogenesis.The inspection method include the observation site,differentiation of viscera,observing the look,view of success or failure,observation form,measuring lesions.The method of inquiry include the examination of the condition and the cause of trial.Pulse-taking method include the general requirements,the position of the veins,the motility of the veins,the stomach Qi of the veins,the main diseases of the pulse,Yin-Yang of the four seasons of the veins,and Yin-Yang of pulse syndromes.Program of examination of disease pathogenesis mainly include five-organs six-Qi pathogenesis,Yin-Yang cold-heat pathogenesis,evil-positive deficiency-solid disease pathogenesis,Qi-blood Ying-Wei pathogenesis.The thought of diagnosis from Huangdi Neijing has important guiding significance in the clinical practice of traditional Chinese medicine.

关 键 词：《黄帝内经》 诊法学 整体观 望闻问切 病机 熊继柏 

分 类 号：R241[医药卫生—中医诊断学]